摘要
目的探讨团体心理治疗对乳腺癌患者的抑郁、焦虑疗效及各团体治疗疗效因子的相对重要性。方法对符合入组标准的62例乳腺癌患者用分层随机分为研究组(31例)和对照组(31例),疗程12周,并用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA),对团体治疗疗效因子进行问卷调查。结果(1)治疗前两组抑郁、焦虑评分差异无统计学意义(P>0.05);(2)治疗后研究组抑郁、焦虑较治疗前明显降低,差异有统计学意义(P<0.05),也较对照组明显降低,差异有统计学意义(P<0.05);(3)研究组团体治疗疗效因子中人际学习(付出)、团体凝聚力、希望重塑、情感宣泄、存在意识等因子显著优于对照组(均P<0.05)。结论团体心理治疗可缓解乳腺癌患者的抑郁和焦虑情绪,而人际学习、团体凝聚力、希望重塑、情感宣泄、存在意识是乳腺癌团体心理治疗中相对比较重要的因子。
Objective To evaluate the efficacy of group psychotherapy for patients with breast cancer. Methods Sixty two patients with breast cancer were randomly assigned to receive group psychotherapy for 12 weeks （study group） or no psychotherapy （control group）.The questionnaire survey, Hamilton Depression Scale （HAMD） and Hamilton Anxiety Scale （HAMA） were used to evaluate the psychological status of patients in the end of therapy. Results There was no significant difference in depression and anxiety scores between two groups （P 〉0.05） before treatment. The scores of depression and anxiety were decreased in study group after treatment compared to those before treatment P〈0.05）; while the depression and anxiety scores in study group were lower than those in control group after treatment （P〈0.05）. The questionnaire survey revealed that the interpersonal learning （paying）, group cohesion, instillation of hope, catharsis, awareness of existence in study group were significantly improved after treatment （P〈0.05）. Conclusion The group psychotherapy can alleviate the symptom of depression and anxiety in patients with breast carcinoma.
出处
《浙江医学》
CAS
2013年第6期438-440,共3页
Zhejiang Medical Journal
关键词
团体心理治疗
疗效因子
乳腺癌
抑郁焦虑
Breast carcinoma Adepression and anxiety Group psychotherapy Therapeutic factor
